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General NPI Number Information
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NPI Number | 1841529104
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Entity Type | Organization
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Legal Business Name | GREENUP COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 12/16/2009
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Last Update Date | 12/16/2009
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Provider Practice Location Address
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Address Line | 550 RAMS BLVD
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City | RACELAND
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State | KY
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Zip | 41169-1179
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Country | US
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Telephone | 606-836-3844
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 377
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City | GREENUP
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State | KY
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Zip | 41144-0377
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Country | US
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Telephone | 606-473-9838
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Fax | 606-473-6405
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Authorized Official
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Title or Position | PUBLIC HEALTH DIRECTOR
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Name | MR. CHRISTOPHER GALE CRUM
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Credential |
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Telephone | 606-473-9838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State | KY
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